Tidbits Flashcards
Presents as folate deficiency
B12
Need folate for metabolism/absorption
B2, Niacin, choline
Helps mobilize Ca
Niacin
Decreases with inflammation
Zinc, Fe
Decreased with Zinc def
folic acid, Vit A
Competes with Iron
Manganese, chromium
Choline needs this for metabolism
B12, folic acid
Dec absorption of Fe with these meds/mins
PPI, oxalates, coffee, tea, Ca, Zinc, Mn
Fe finds to this organism
Gram Negative
Visual impairement
Deficiency Vit A, B2, zinc
Toxic Vit D
Increases Calcium
Too much Vit E inerferes with
Vit K
HIgh amts Vit C destroys this vitamin with heat
B12
Macrocytic Anemia
Folic acid
Microcytic Anemai
B6, Fe Cu
Megaloblastic Anemia
B12, Folic acid
Hypochromic Anemia
Fe, Cu
Vit D Def cause
osteo, seen in LT PN
Hair Loss
Biotin, zinc, EFAD
Impaired bile salts cause a decrease in this vit
folic acid
Bound to transferrin
Fe, chromium
Bound to Fe
chromium
Bound to albumin
zinc, molybdeum
Dec levels zinc related to
worsening hepatic fx, gluc intolerance, dec rep
High zinc causes
dec Copper, and Calcium binds, GI s/s
HCl needed for these vits
B2, B12, zinc, iodine
Pyridoxine
B6
cyanocobalamin
B12
IV Fe Dextran contraindicated with
3:1 PN, acute illness/sepsis (enteral ok)
CAtions
Ca, Na, Mg, K
Anion
Phos
Severe Hypercalcemia treat with
IV NS and follow with lasix
High K+ fluids
saliva, colon
High Na fluids
Duodenum, ileum, pancreas, bile
High HCl
stomach
High bicarb
pancreas
Treat Hypophosphotemia with
replete IV KPhos (not more 7mmos/hr–thrombo-phlebitis)
Hypomagnesiumemia refractory with dec in
K+, Ca
Treat Hypermagnesiumemia with
IV Ca Gluc/Chloride (IV not EN)
Treat Hyperkalemia with
IV Ca Gluc, D5 with insulin, Na Bicarb, Albuterol
Lose K in stool with this disease
CRF
Hemodialysis @ risk for decreased
B6, Copper
Rhabdo
High PO4, Low Ca
LIthium increases what mineral
Calcium
MNA (mini nutr assess)
easy good for elderly
SGA
nutr status, severity of illness, ABC r/t malnutr, renal fx 1-7, nutr/med hx and physical
Coumadin is better absorbed with
hydrolyzed protein in TF (also off 2hr a/p feeds)
phytates are
whole grains, legumes (peas, lentils, carob, soybean, peanuts), nuts/seeds
Ampho B decreases
Nephrotoxic, K+, Ca, Mg, Vit D, Folic acid, zinc
ADH controls
water loss by kidneys
Pallor
Fe, folate, B12
Swollen joints
Vit C
periph neuropathy
B12, B1, Cu
Hypoactive reflexes
Vit K
Hyperactive reflexes
Ca
Calf tenderness bilat
B1
Dementia
B1, B6, B12, Niacin, HIgh Mn
Gingseng & Coenzyme Q10
Low BP, anti PLT, Low Blood sugars
Garlic
anti PLT
B2 Def @ risk with this dz
thyroid dz
Niacin
tryptophan-pellagra (red tongue)
Dermatitis, confusion, epileptic
B6
High Vit C impairs availability of this vit
B12
Folate is “trapped” if this vit missing
B12
Diarrhea, pan/biliary losses, severe renal, ketoacidosis, lactic acidosis-lose bicarb
Metabolic acidosis
Vomit, NGT output, diuretics, Low K with shifts-loss gastric acid
Metabolic alkalosis (treat 1/2 NS and replete K prn)
High Osmolar Meds
acetaminophen, lasix, reglan, MVI, KCl
Hold feeds with these meds
cipro, dilantin
Na is absorption buddy with
Glucose
MCT are ____ soluble
water
GI atrophy wtih lack of this AA
glutamine
Na req for healthy young adults
65 mEq/day
